ANTONY SERTICCHIO HI NPI 1003447988

Behavior Analyst in Coeur D Alene, ID

Individual Male Behavior Analyst

About ANTONY SERTICCHIO

Antony Serticchio is a provider established in Coeur D Alene, Idaho and his medical specialization is behavior analyst. The NPI number of Antony Serticchio is 1003447988 and was assigned on January 2020. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and his NPI record was last updated February 2020. Antony Serticchio operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI

1003447988

Provider Name ANTONY SERTICCHIO HI
Provider Location Address702 E FRONT AVE COEUR D ALENE, ID 83814
Provider Mailing Address2501 E SHERMAN AVE APT 198 COEUR D ALENE, ID 83814
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-30-2020
Last Update Date02-03-2020

Primary Taxonomy

Taxonomy Code103K00000X
ClassificationBehavior Analyst
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Business Address

ANTONY SERTICCHIO HI
702 E FRONT AVE
COEUR D ALENE, ID
ZIP 83814
Phone: (509) 599-3138

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Mailing Address

ANTONY SERTICCHIO HI
2501 E SHERMAN AVE APT 198
COEUR D ALENE, ID
ZIP 83814
Phone: (509) 599-3138

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.